100% Effective: 3 Steps to Eliminate Pain Plus Pelvic Release

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Original title (JP): 【100%効く】痛みを取る3STEPと骨盤リリース

Shogo Fujii

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Shogo Fujii

Physiotherapist (PT) · Founder of the SHOGO FUJII® FASCIA METHOD

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Clinical Article · 5 min read

If you are searching for fascia release for low back pain, it helps to know that the method is a process, not a single technique. In this video, physical therapist Shogo Fujii describes three steps: understand how the body is connected, assess where the pain really starts, and then apply a very light release, with the pelvis often a key area. Below is a clear, evidence-informed summary for clinicians and curious patients. It is educational only and not medical advice [1].

Fascia release for low back pain: why body connections come first

Fujii begins every session by explaining how the body is linked and how pain can travel through those links. Fascia, the connective tissue web that wraps muscles, joints and organs, is continuous from the feet to the neck. A strain in one region can therefore change tension somewhere else [1][2].

This is why a sore low back is not always a low back problem. In the demonstration, a deep abdominal area near the hip flexors (the iliopsoas region) was tender and seemed to tie in with pelvic position and back-line tension. Understanding this map gives both therapist and patient a shared story for the pain. It also tends to make the patient more relaxed and trusting before any hands-on work starts.

Why can't a diagnosis name tell you where the pain comes from?

Patients often arrive with labels such as spinal stenosis or disc herniation. Fujii's point is that these names are poor guides to the actual source of symptoms. Imaging shows structure, but it does not test whether a finding matches what the person feels [3].

The research supports this. Reviews of people with no back pain show that disc degeneration, bulges and narrowing become more common with age, and they are common even in people who feel fine [3][4]. Fujii cites a similar example: a large share of pain-free people in their 80s still show stenosis-type findings on scans. Imaging is useful for ruling out serious pathology, but a scan alone should not decide the treatment plan. Pain-free movement and function matter more.

How does movement-based assessment find the source of pain?

The second step is assessment. Fujii uses a map of fascial connections and checks which movements provoke pain: bending, twisting or rotating. Then he applies a brief gentle stimulus, such as light pressure or vibration, to a suspected area and has the patient repeat the same movement. If pain drops, that area is likely part of the problem. If it does not, he moves on to another area [2][5].

In the demonstrated case, pressing near the deep abdomen and around the PSIS (the bony point at the back of the pelvis) changed the patient's movement. This is a simple test-treat-retest loop. The patient feels the change straight away, and so does the clinician. Fujii also notes that you often cannot know why a pain appeared until you begin to release tension and see what changes.

What does the third step, pelvic release, involve?

The final step is the release itself. Fujii says it relies on a refined hand sensation and a very light touch, with only gentle vibration, rather than strong pressure. The aim is to soften tension in muscle and fascia together. Because the fascial network is connected, he finds that releasing one well-chosen point can ease tension across a wider area, including the pelvis [1][5].

He stresses two things. First, the best touch differs for every patient and every therapist, depending on the person's posture, habits and body use. Second, this skill cannot be learned from videos alone. It takes hands-on practice and feedback over months. After the release, the patient moves again, and a lasting improvement in movement and comfort is the sign that the area mattered [6].

Frequently asked questions

Is fascia release safe for low back pain? — For most people, gentle manual therapy is low-risk, and guidelines list it among options for back pain, usually alongside exercise and education [6]. Severe or worsening pain, numbness, weakness, fever or loss of bladder or bowel control needs medical assessment first. Always check with a qualified clinician before starting any treatment.

Does my MRI result decide whether I can get better? — Not by itself. Many people with no pain show disc or spine changes on scans, so findings must be matched with your symptoms and movement [3][4]. A good assessment looks at how you move and what changes pain, not only at the image.

Can I learn pelvic release from a video? — Videos can explain the ideas and the steps, but the touch itself takes guided practice. Fujii emphasises that the sensation is built through hands-on training and repeated feedback, and it differs between practitioners. Use videos for understanding, and see a trained clinician for treatment.

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